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LDSS5145 (Rev. 02/21)Referral for Child Support Services Program of the Office of Temporary and Disability Assistance TDA.NY.govLDSS5145 (Rev. 02/21)Welcome! New York's Child Support Program works
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How to fill out ldss-5143 application for child

01
Begin by gathering the necessary information and documents for the application, such as the child's personal information, household information, and income details.
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Complete the sections of the ldss-5143 application form accurately and thoroughly. Provide detailed information about the child's needs and any additional support required.
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Make sure to include any relevant supporting documents, such as medical records or proof of income.
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Double-check all the provided information before submitting the application to ensure its accuracy.
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Submit the completed ldss-5143 application form either in person at the local Department of Social Services office or by mailing it to the designated address.
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Follow up with the Department of Social Services to confirm receipt of the application and to inquire about the status and any additional steps required.

Who needs ldss-5143 application for child?

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Parents or legal guardians of a child who requires assistance or services from the Department of Social Services may need to fill out the ldss-5143 application form.
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This application is specifically for families seeking assistance for their children, such as child care services, medical assistance, or support for children with special needs.
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The ldss-5143 application for child is a form used to apply for various child welfare services provided by the Department of Social Services.
Parents or legal guardians of the child are required to file the ldss-5143 application for child.
To fill out the ldss-5143 application for child, you need to provide personal information about the child, parent or guardian, income details, and reason for applying for services.
The purpose of the ldss-5143 application for child is to determine eligibility for child welfare services and to assess the needs of the child and family.
Information such as child's name, date of birth, parent/guardian's contact details, income, and reason for applying for services must be reported on the ldss-5143 application for child.
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